NPIMap

Organization Active NPI

Bowerston Hills Healthcare LLC

  • Skilled Nursing Facility
  • Bowerston, OH
National Provider Identifier
1265877369
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0457N Issued in OH
Legal business name
BOWERSTON HILLS HEALTHCARE LLC
Practice address
9076 Cumberland Rd SW
Bowerston, OH 44695-9640
Phone
(740) 269-4000
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul B Bergsten, LNHA
Title
Owner Ceo
Phone
(937) 825-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0457N OH Primary

Addresses

Primary practice location

9076 Cumberland Rd SW
Bowerston, OH 44695-9640

Mailing address

2968 Jericho PL
Delaware, OH 43015-3175
Phone (937) 825-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000638 OH Part A Provider - Skilled Nursing Facility 6608016563 Practice locations: Bowerston, OH

Skilled nursing facility certification: CCN 366037

Legal name
BOWERSTON HILLS HEALTHCARE LLC
Doing business as
BOWERSTON HILLS NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1996
Last certification
Apr 10, 2025
Beds
25
Ownership / control type
Corporation
Multi-facility organization
Hillstone Healthcare
Organization structure
LLCProprietary
Incorporated
Apr 1, 2013 in OH
Enrollment address
9076 Cumberland Rd SW
Bowerston, OH 44695-9640
Nursing home name
BOWERSTON HILLS NURSING & REHABILITATION
Affiliated entity
HILLSTONE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bowerston Hills Nursing & RehabilitationCCN 366037
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2520.0 residents per day on average
Chain
Hillstone Healthcare9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sean Duane Stiltner Individual Adp of the SNF Oct 1, 2024
Individual Trustee of the SNF Aug 1, 2022
Russ Corwin Individual Direct Ownership Interest Oct 30, 1989 100%
Organization, Cedarhurst, NY LLC Adp of the SNF Jun 30, 2022
Organization, Worthington, OH Financial institution Adp of the SNF Sep 1, 2013
Indirect Ownership Interest Jul 7, 2022 60%
Paul B Bergsten Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2015 60%
Corporate OfficerCeo Apr 1, 2013
Operational/Managerial Control May 1, 2013
Managing Control - Governing BodyChairman of the Board May 1, 2013
Adp of the SNF May 1, 2013
Individual Managing Control - Governing BodyCorporate Officer Sep 15, 2000
Direct Ownership Interest Oct 30, 1989 100%
Indirect Ownership Interest Sep 15, 2000 100%
Organization, Worthington, OH Financial institution Adp of the SNF May 1, 2013
Matthew Dapore Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2015 40%
Corporate OfficerCoo Apr 1, 2013
Direct Ownership Interest Mar 23, 2022 40%
Indirect Ownership Interest May 1, 2013 25%
Luan Mizer Individual Operational/Managerial Control Nov 13, 2017
Adp of the SNF Nov 13, 2017
Hillstone Healthcare Inc. Organization, Lewis Center, OH Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Operational/Managerial Control May 1, 2013
Direct Ownership Interest May 1, 2013 100%
Indirect Ownership Interest May 1, 2013 99%
LTC Provider Services LLC Organization, Wadsworth, OH LLC Adp of the SNF Jan 1, 2019
Organization, Lewis Center, OH LLC Adp of the SNF May 1, 2013
RW Corwin & Company Inc Organization, Wadsworth, OH Corporation Adp of the SNF Feb 28, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1265877369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 JERICHO PL",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153175",
            "telephone_number": "937-825-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9076 CUMBERLAND RD SW",
            "city": "BOWERSTON",
            "state": "OH",
            "postal_code": "446959640",
            "telephone_number": "740-269-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWERSTON HILLS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "937-825-6622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0457N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowerston, OH

Sources for this page

Verify at the official NPI Registry.